Employment Application
Wilton Fire Protection District 9800 Dillard Road, Wilton, CA 95693 www.wilton-fire.org 916-687-6920
We Are An Equal Opportunity Employer
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin,age, disability, marital or veteran status, sexual orientation, or any other legally protected status.
Date of Application *
MM
/
DD
/
YYYY
Position applying for: *
Name: *
Your answer
Phone Number: *
Your answer
Email: *
Your answer
Mailing Address (Street, City, State, Zip) *
Mailing Address
Your answer
Fire Academy Graduation? *
Have you filed an application with us before? *
Have you worked here before?
Drivers License #, State and Class: *
Your answer
Can you, after an offer of employment, submit verification of your legal right to work in the United States? (Note: Proof of citizenship or immigration status will be required upon employment.) *
Have you ever been convicted of a crime? (Note: You may answer “no” if the conviction is specified in Health and Safety Code (HSC) Section 11361.5 which pertains to various marijuana offenses, or, if the conviction was a violation under HSC Section 11557 or its successor Section 11336 when that conviction was stipulated or designated to be a lesser included offense of the offense of possession of Marijuana.) Conviction will not necessarily disqualify an applicant from employment *
If yes to conviction of crime, please explain:
Your answer
Education: (School Name, Address, years completed, diploma/degree received) *
Your answer
Describe any specialized training, apprenticeship, skills and extracurricular activities *
Your answer
Describe any job‐related training received in the United States military. *
Your answer
Employee Experience (Company, Position, Dates of employment, Address, Phone number, Supervisor name & Reason for leaving) *
Your answer
List professional, trade, business or civic activities and offices held. You may exclude membership which would reveal gender,race, religion, national origin, age, ancestry, disability, or other protected status: *
Your answer
Other qualifications – Summarize special skills and qualifications acquired from employment or other experience: *
Your answer
Were you ever discharged, rejected/terminated/non‐reelected/released during probation, or have you ever been requested to resign from any employment? *
State any additional information you feel may be helpful to us in considering your application: *
Your answer
References:(Name, Phone number, Address) *
Your answer
I declare each of the answers given to the questions on this application to be complete and true to the best of my knowledge. I understand that any misrepresentation or omission may be cause for non selection or dismissal. *
Applicant’s Statement: I certify that answers given herein are true and complete to the best of my knowledge.I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.This application for employment shall be considered active for a period of time not to exceed 90 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer. *
How did you hear about the Wilton Fire District?
Your answer
Print full Name: *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service